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Ileal Transposition

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Ileal Transposition Surgery in Nehru Enclave, Delhi

Ileal transposition is a metabolic or bariatric procedure that is used in the treatment of diabetic patients. This procedure is more commonly used for patients who are obese or overweight. The process is a surgical method that helps in the treatment of type 2 diabetes. The primary purpose of an ileal transposition is to help the patient in losing weight. Ileal transposition can be done through two different methods, and both of them begin with a sleeve gastrectomy. 

Ileal transposition was a method that was developed to help in the research and study of bodyweight reduction without the interference of the restrictions or malabsorptive aspects of the other bariatric surgeries. In the process, a part of the small intestine known as the ileum is cut off and then interposed in between another part of the intestine known as the jejunum. In this procedure, no part of the small intestine is removed from the body. For further information, contact bariatric surgery in hospitals near you.

What happens in an ileal transposition?

The beginning of the surgical procedure includes a sleeve gastrectomy. A sleeve gastrectomy is a surgical procedure that focuses on weight loss procedures. In the procedure, a part of the stomach, about 80%, is removed from the person’s body. This removal is done along the greater curvature of the stomach. After the process is completed, one can get an ileal transposition. There are two methods of getting an ileal transposition.

Diverted (Duodeno-ileal interposition): In this procedure, once sleeve gastrectomy is completed, the connection between the stomach and the duodenum is closed. Then a part of the ileum about 170 cm is cut off and then connected to the first part of the duodenum. The part of the duodenum is at the end of the stomach. The other end of the ileum is then connected to the proximal portion of the intestine. Hence, after the procedure is complete, the ileum is interposed between the stomach and the proximal part of the intestine. The duodenum and the proximal portion of the small intestine are not usable anymore; hence the patient is required to go through bypass surgery. After this procedure is completed, the patient will have lesser bodyweight and controlled blood sugar. But they will also have a chance of getting anemic, an iron deficiency in the body. This will be because of the bypass surgery.

Non-Diverted (Jejuno-ileal interposition): In this procedure, sleeve gastrectomy is done, and then a part of the ileum about 200 cm long is cut off. This part is then interposed to the proximal portion of the small intestine. Since the stomach is left unbothered in this procedure, the food continues to pass through the intestine. There is no malabsorption as the duodenum absorbs food normally. The hormones released by the duodenum play a significant role in controlling and changing blood sugar. Hence, the weight is maintained in this procedure, but the blood sugar is not managed as effectively as the diverted procedure.

Who qualifies for an ileal transposition?

An ileal transposition is done to control the blood sugar and weight of a person. This will be recommended to a patient by the doctor or the surgeon when the person is obese or overweight and suffers from type 2 diabetes. This is not a procedure recommended to someone who has a low body mass index; for further information, contact bariatric surgery specialists near you.

Request an appointment at Apollo Hospitals, Nehru Enclave, New Delhi

Call 1860 500 2244 to book an appointment

Why would you get an ileal transposition?

This procedure helps in controlling blood sugar by regulating hormone secretions. Suppose you are a type 2 diabetic patient who is overweight and can’t control their blood sugar even after proper medication or treatment. You might be recommended to get an ileal transposition. This may also be regarded as an option if the drug starts harming the organs. Contact bariatric surgery doctors near you for this.

Benefits of Ileal Transposition

There are several benefits of getting an ileal transposition. Some of these include:

  • More control of blood sugar
  • Effective weight control
  • Fewer Complications

Risks of Ileal Transposition

There can be several risks in an ileal transposition:

  • Bleeding
  • Infection
  • Chances of Hematoma
  • Problems in eating food

Contact bariatric surgery hospitals near Delhi for more knowledge about the procedure.

References

https://www.apollospectra.com/speciality/bariatrics-surgery/ileal-transposition/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854974/

https://en.wikipedia.org/wiki/Ileal_interposition

How long is the recovery period after an ileal transposition?

Patients can resume their work after two weeks of bed rest.

What will be the diet recommendation after the surgery?

You will be on a liquid diet for 1 to 2 days, then 3 to 4 days of soft food, you can switch to solid foods.

Will the patient need physical therapy?

You will be recommended small physical exercises you can do every day to regain your physical strength.

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